Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.82 / $815.48 / $815.48	Facility		$641.82	$815.48	$815.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.30 / $711.83 / $825.36	Professional		$563.30	$711.83	$825.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,392.78 / $1,900.03 / $2,394.76	Professional		$1,392.78	$1,900.03	$2,394.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $769.03 / $1,181.63 / $2,140.44	Facility		$769.03	$1,181.63	$2,140.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $748.81 / $2,037.75 / $6,214.80	Professional		$748.81	$2,037.75	$6,214.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $1,758.29 / $2,364.42	Facility		$1,269.00	$1,758.29	$2,364.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,192.00 / $1,713.11 / $2,248.54	Professional		$1,192.00	$1,713.11	$2,248.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.25 / $1,318.38 / $1,638.60	Professional		$851.25	$1,318.38	$1,638.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.81 / $1,493.77 / $2,323.64	Professional		$748.81	$1,493.77	$2,323.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,208.30 / $1,478.40 / $1,837.40	Professional		$1,208.30	$1,478.40	$1,837.40